CERTIFICATE OF EXAMINATION AND TEST OF LIFTING GEARS,

LIFTING APPLIANCES & LIFTING EQUIPMENTS

Certificate No: AB/C3
CLIENT & ADDRESS: INDEX TOWER PRINCIPLE BODY CORPORATE ,SHEIKH ZAYED ROAD, DIFC, DUBAI, UAE
TYPE OF INSPECTION & TEST PERFORMED: PERIODIC
INSPECTION
LOCATION: SHEIKH ZAYED ROAD, DIFC,DUBAI
INSPECTION STATUS
DATE OF PREVIOUS INSPECTION: 27/08/2017
DATE OF INSPECTION & TEST: 24/04/2018
NEXT INSPECTION AND TEST : 24/10/2018*
VALIDITY: 06 MONTHS
INSPECTOR'S NAME: JAYAKRISHNAN TK
INSPECTOR'S SIGNATURE:
Job No: ASC-18N-0219
SURVEY REQUESTED BY: MR. ROBERT SAVARAJ
MAKER OF SUPPLIER OF EQUIPMENT: NONE
ASC TEST EQUIPMENT NO: AC/EQ/01/7,14/2
ASC TEST PROCEDURE NO: ASC/ITP/28
STANDARD REFERENCE & REGULATION: BSEN 795:1997+A1:2000
PREVIOUS INSPECTION DONE BY: TEAM SAFETY CONSULTANTS
AUTHORIZED NAME:
AUTHORIZED SIGNATURE:

DESCRIPTION PROOF SAFE

ID/NO QTY (make/name, model, date of manufacture, type, LOAD/TEST WORKING REMARKS
dimensions, others) LOAD LOAD

(Location:
East Tower 6 ANCHOR BOLT
Roof Top)
AB -01-06 External diameter: 59 mm SATISFACTORY AT THE TIM
(Location: 500 kg 250 kg OF INSPECTION.
Internal diameter: 33 mm
East Tower
6 Type: Metric
Roof Top)
AB -21-26 Thickness: 12 mm
(Location:
WEST Tower
Roof Top) 6
AB -41-46

*This Certificate becomes invalid, if any alteration/major repair/ modification made on the equipment. Electronic signature and stamp are not allowed.
THIS IS TO CERTIFY THAT the undersigned competent representative did attend to examine this equipment/machine to assure that it is in safe working condition.
Examination indicates that the said equipment has no indigenous defects and it is in safe working condition at the time of inspection.
The said equipment was found Satisfactory for further use, provided there is continuous maintenance applied and only qualified operators employed.
This certificate will be valid for 06 Months from date of inspection
This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer, manufacturer, seller,
supplier, Repairer or operator of any warranty, express or implied, and admiral safety consultants liability shall be limited to the acts or omissions of its employees, agents
and Subcontractors. under no circumstances whatsoever shall Admiral Safety Consultants nor their Engineer be liable for any injury or damage to any person or occurring
by reason of negligent operation or any defect in material, machinery, equipment or other items other than such defects ascertainable by normally accepted standards and
only those items actually inspected by Admiral Safety Consultant and which are covered only by this certificate. Any person not a party to the contract pursuant to which
this document is delivered may not assert claim against Admiral Safety Consultants for any liability arising out of errors or omissions which may be contained
in said document and in connection with any activities for which it may provide. This Certificate shall not be reproduced except in full without the approval of
Admiral Safety Consultants.

ADMIRAL SAFETY CONSULTANTS, TRADE LICENCE NO. 741090, AL GARHOUD, P.O.BOX 125218, DUBAI -UAE, TEL: 04-2899389, FAX: 04-2840557

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